Organization
WILLIAM TERRY HOLT
Active
Other names
Podiatry Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY H. HOLT (OFFICE ADM./OFFICE MGR)
(731) 427-5581
Entity
Organization
Contact information
Practice address
657 SKYLINE DR, SUITE A, JACKSON, TN 38301-3903
(731) 427-5581
(731) 427-8257
Mailing address
657 SKYLINE DR, SUITE A, JACKSON, TN 38301-3903
(731) 427-5581
(731) 427-8257
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
09/23/2014
Last updated
03/17/2015
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